Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
WhichwphasewofwKawasakiwdiseasewiswassociatedwwithwcoronarywaneurysms?
A. Acutewfebrilewphase
B. Subacutewphase
C. Convalescentwphase
D. Phasewofwcomplications
E. Allwofwthewabovew-wANSWERw-w1wB.
Kawasakiwdiseasewpresentswwithwcharacteristicallywhigh,wunremittingwfeverwandw4woutwofwthew5w
principalwfeatures:
Bilateralwnonexudativewbulbarwconjunctivalwinjectionwwithwlimbalwsparing;
Erythemawofwtheworalwandwpharyngealwmucosawwithwstrawberrywtonguewandwdry,wcrackedwli
ps;wEdemawandwerythemawofwthewhandswandwfeet;
Rashwofwvariouswformsw(scarlatiniform,wmaculopapular,werythemawmultiforme);wNonsuppur
ativewcervicalwlymphadenopathyw(usuallywunilateral,wwithwnodewsizew>1.5cm).wAcutewfebrilew
phasew-wfeverwandwthewacutewsignswofwillnesswandwusuallywlastsw1-2wks
Subacutewfebrilewphasew-
wdesquamation,wthrombocytosis,wcoronarywaneurysmswandwhighestwriskwofwsuddenwdeathwus
uallywlastsw2wwks
Convalescentwphasew-wAllwclinicalwsignswhavewdisappearedwuntilwESRwnormalizeswtypicallyw6-
w 8wkswafterwonsetwonwillness
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp864
Awfourwyearwoldwpresentswwithwlow-
gradewfever,wintermittentwcrampywabdominalwpainwwithwemesiswandwswollenwkneeswofw3wday
swduration.wAwpurpuricwrashwdistributedwbelowwthewkneeswofwbothwlowerwextremitieswiswnote
dwonwphysicalwexamination.wThiswpatientwmostwlikelywhas:
A. Meningococcemia
B. Idiopathicwthrombocytopenicwpurpura
C. Henoch-Scholeinwpurpura
D. SLEwE.wJuvenilewRheumatoidwarthritisw-wANSWERw-w2wC.
HSPwiswawcommonwvasculitiswamongwchildrenwandwpresentswwithwthewclassicwfindingswofwabd
ominalwpainwwithworwwithoutwrectalwbleeding,wvasculitiswrash,warthritiswandwnephritis.wThew
plateletwcountwiswnormal.wGastrointestinalwinvolvementwmaywprogresswtowintussusception.
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp868
Aw3wyearwoldwfemalewpresentswwithw1wweekwhistorywofwdailyw(quotidian)wfeverwassociatedww
ithwarthritiswofwbothwankleswandwherwrightwknee.wHerwmotherwnoteswthatwshewhaswdecreasedw
activity
,Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
andwalsownoteswrasheswthatwcomewandwgowinwdifferentwpartswofwherwbodywbutwnotwonwthewface
.wOnwphysicalwexamination,wsalmonwcoloredwpatcheswwerewnotedwonwthewtrunkwandwextremi
ties.wPalpationwrevealedwsplenomegaly.wWhatwiswthewdiagnosis?
A. HenochwSchoenleinwPurpura
B. SystemicwLupuswErythematosus
C. JuvenilewRheumatoidwarthritis
D. JuvenilewDermatomyositis
E. Denguewfeverw-wANSWERw-w3wC.
Don'twforgetwtowstudywrheumaticwdiseaseswofwchildhoodwevenwifwit'swnotwyourwfavoritewtopic.w
FamiliarizewyourselfwwithwthewrelativelywcommonwoneswlikewJRA,wSLEw andwdermatomyositis,
w HSPw andw scleroderma.w Payw attentionw tow thewcharacteristicsw ofw thew rashw andw otherw featu
res.w(Don'twfallwforwthewtrapwofwrashw+warthritisw=wSLE..wIt'swnotwalwayswSLE!)
JRAw-
wSalmonwcoloredwpatch,wevanescent,wspareswthewfacewSLEw-
wMalarwrash,wphotosensitive
Dermatomyositisw-
wheliotropew(periorbital)wrash,wgottronwpapulesw(rashwonwthewknuckles)wHSPw-
wpurpurawinwdependentwportions
ForwJRA,wknowwthewdifferenceswbetweenwsubtypesw(oligoarticularwvswpolyarticularwvswsystemicw
onset)
ThiswcasewinwparticularwiswawcasewofwsystemicwonsetwJuvenilewRheumatoidwarthritisw(alsowcalledw
Still'swDisease)
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp830
Aw4wyrwoldwboywpresentswwithwhiswthirdwepisodewofwpainfulwcervicalwlymphadenitis.wEachww
aswtreatedwwithwincisionwandwdrainagewandwgrewwS.waureus.wHewalsowexperienceswrecurrentw
skinwinfections.wAwyearwago,whewwaswhospitalizedwforwosteomyelitis.wThewmostwimportantwlab
oratorywtestwis:
A. PCRwforwADAwdeficiency
B. Nitrobluewtetrazoliumwtest
C. MAC-Iwassay
D. Neutrophilwcount
E. Geneticwchromosomalwanalysisw-wANSWERw-
w4wB.wThiswiswawcasewofwchronicwgranulomatouswdiseasew(CGD)wwhereinwpatientswarewsuscept
iblewtowcatalasewpositiveworganismswlikewS.waureus.wThewnitrobluewtetrazoliumwtestswthewneut
rophilswabilitywtowgeneratewsuperoxidewanionwandwthuswkillwingestedwbacteria.
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
w w w w w w w w
Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
WhichwphasewofwKawasakiwdiseasewiswassociatedwwithwcoronarywaneurysms?
A. Acutewfebrilewphase
B. Subacutewphase
C. Convalescentwphase
D. Phasewofwcomplications
E. Allwofwthewabovew-wANSWERw-w1wB.
Kawasakiwdiseasewpresentswwithwcharacteristicallywhigh,wunremittingwfeverwandw4woutwofwthew5w
principalwfeatures:
Bilateralwnonexudativewbulbarwconjunctivalwinjectionwwithwlimbalwsparing;
Erythemawofwtheworalwandwpharyngealwmucosawwithwstrawberrywtonguewandwdry,wcrackedwli
ps;wEdemawandwerythemawofwthewhandswandwfeet;
Rashwofwvariouswformsw(scarlatiniform,wmaculopapular,werythemawmultiforme);wNonsuppur
ativewcervicalwlymphadenopathyw(usuallywunilateral,wwithwnodewsizew>1.5cm).wAcutewfebrilew
phasew-wfeverwandwthewacutewsignswofwillnesswandwusuallywlastsw1-2wks
Subacutewfebrilewphasew-
wdesquamation,wthrombocytosis,wcoronarywaneurysmswandwhighestwriskwofwsuddenwdeathwus
uallywlastsw2wwks
Convalescentwphasew-wAllwclinicalwsignswhavewdisappearedwuntilwESRwnormalizeswtypicallyw6-
w 8wkswafterwonsetwonwillness
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp864
Awfourwyearwoldwpresentswwithwlow-
gradewfever,wintermittentwcrampywabdominalwpainwwithwemesiswandwswollenwkneeswofw3wday
swduration.wAwpurpuricwrashwdistributedwbelowwthewkneeswofwbothwlowerwextremitieswiswnote
dwonwphysicalwexamination.wThiswpatientwmostwlikelywhas:
A. Meningococcemia
B. Idiopathicwthrombocytopenicwpurpura
C. Henoch-Scholeinwpurpura
D. SLEwE.wJuvenilewRheumatoidwarthritisw-wANSWERw-w2wC.
HSPwiswawcommonwvasculitiswamongwchildrenwandwpresentswwithwthewclassicwfindingswofwabd
ominalwpainwwithworwwithoutwrectalwbleeding,wvasculitiswrash,warthritiswandwnephritis.wThew
plateletwcountwiswnormal.wGastrointestinalwinvolvementwmaywprogresswtowintussusception.
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp868
Aw3wyearwoldwfemalewpresentswwithw1wweekwhistorywofwdailyw(quotidian)wfeverwassociatedww
ithwarthritiswofwbothwankleswandwherwrightwknee.wHerwmotherwnoteswthatwshewhaswdecreasedw
activity
,Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
andwalsownoteswrasheswthatwcomewandwgowinwdifferentwpartswofwherwbodywbutwnotwonwthewface
.wOnwphysicalwexamination,wsalmonwcoloredwpatcheswwerewnotedwonwthewtrunkwandwextremi
ties.wPalpationwrevealedwsplenomegaly.wWhatwiswthewdiagnosis?
A. HenochwSchoenleinwPurpura
B. SystemicwLupuswErythematosus
C. JuvenilewRheumatoidwarthritis
D. JuvenilewDermatomyositis
E. Denguewfeverw-wANSWERw-w3wC.
Don'twforgetwtowstudywrheumaticwdiseaseswofwchildhoodwevenwifwit'swnotwyourwfavoritewtopic.w
FamiliarizewyourselfwwithwthewrelativelywcommonwoneswlikewJRA,wSLEw andwdermatomyositis,
w HSPw andw scleroderma.w Payw attentionw tow thewcharacteristicsw ofw thew rashw andw otherw featu
res.w(Don'twfallwforwthewtrapwofwrashw+warthritisw=wSLE..wIt'swnotwalwayswSLE!)
JRAw-
wSalmonwcoloredwpatch,wevanescent,wspareswthewfacewSLEw-
wMalarwrash,wphotosensitive
Dermatomyositisw-
wheliotropew(periorbital)wrash,wgottronwpapulesw(rashwonwthewknuckles)wHSPw-
wpurpurawinwdependentwportions
ForwJRA,wknowwthewdifferenceswbetweenwsubtypesw(oligoarticularwvswpolyarticularwvswsystemicw
onset)
ThiswcasewinwparticularwiswawcasewofwsystemicwonsetwJuvenilewRheumatoidwarthritisw(alsowcalledw
Still'swDisease)
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp830
Aw4wyrwoldwboywpresentswwithwhiswthirdwepisodewofwpainfulwcervicalwlymphadenitis.wEachww
aswtreatedwwithwincisionwandwdrainagewandwgrewwS.waureus.wHewalsowexperienceswrecurrentw
skinwinfections.wAwyearwago,whewwaswhospitalizedwforwosteomyelitis.wThewmostwimportantwlab
oratorywtestwis:
A. PCRwforwADAwdeficiency
B. Nitrobluewtetrazoliumwtest
C. MAC-Iwassay
D. Neutrophilwcount
E. Geneticwchromosomalwanalysisw-wANSWERw-
w4wB.wThiswiswawcasewofwchronicwgranulomatouswdiseasew(CGD)wwhereinwpatientswarewsuscept
iblewtowcatalasewpositiveworganismswlikewS.waureus.wThewnitrobluewtetrazoliumwtestswthewneut
rophilswabilitywtowgeneratewsuperoxidewanionwandwthuswkillwingestedwbacteria.
Source:wNelson'swTextbookwofwPediatricsw19thweditionwp746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
w w w w w w w w
